Dr Krista Bacon, - Psychologist in Vancouver, WA

Dr Krista Bacon, is a Psychologist - Forensic based in Vancouver, Washington. Dr Krista Bacon is licensed to practice in Washington (license number PY61395594) and her current practice location is 4001 Main St Ste 218, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 777-6915.

NPI number for Dr Krista Bacon is 1770952699 and her current mailing address is 4001 Main Street, Suite 218, Box 7, Vancouver, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770952699.

Contact Information

Dr Krista Bacon,
4001 Main St Ste 218,
Vancouver, WA 98663-1888
(360) 777-6915
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Krista Bacon
GenderFemale
SpecialityPsychologist - Forensic
Location4001 Main St Ste 218, Vancouver, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770952699
  • Provider Enumeration Date: 09/21/2015
  • Last Update Date: 09/18/2023

Medical Identifiers

Medical identifiers for Dr Krista Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770952699NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY61395594 (Washington)Secondary
103TF0200XPsychologist - Forensic PY61395594 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Krista Bacon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Krista Bacon,
4001 Main Street, Suite 218, Box 7,
Vancouver, WA 98663-1888

Ph: () -
Dr Krista Bacon,
4001 Main St Ste 218,
Vancouver, WA 98663-1888

Ph: (360) 777-6915

Reviews and Comments


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